We assist state employees who have been injured on the job and ensure excellent customer service throughout the process.
The Workers’ Compensation Program assists injured state and higher government employees in the recovery process, provides access to exceptional medical services and providers, and ensures excellent customer service during the entire workers’ compensation process.
The Division contracts with a third-party administrator for the processing of state employees’ workers’ compensation claims through a managed-care framework that includes a provider network and pharmacy management. The Division’s staff monitors the work done by the administrator and acts as a liaison between state employees, the third party administrator, and medical providers.
1. Any employee exposed to COVID-19 in the workplace who believes their exposure was a result of their employment, should report it to CorVel. The reporting procedures are the same as for other claims.
2. An investigation by Corvel will be completed to determine whether the claim qualifies for compensation. Compensability depends on various factors, including type of employment.
3. For an injury to be compensable under Tennessee Workers’ Compensation law, employees must prove an injury “arising primarily out of, and in the course and scope of, employment.” Furthermore, a determination needs to be made regarding if the employee’s assigned daily work duties and service to the State heighten their risk of exposure to COVID-19.
Compensability working from home and at a facility:
1. An employee injured either at their home or facility, who believes an injury is a result of their employment, should report it to CorVel. Both are treated the same, provided the employer has approved the employee to work from home.
2. An investigation by CorVel will be completed to determine compensability. Again, the injuries must arise primarily out of, and in the course and scope of, employment.
Following these steps will ensure a successful claims process.
When notifying your supervisor, be sure to do the following:
If you witness a work-related incident where a fellow employee is injured and cannot notify his/her supervisor, you should notify the supervisor for them.
Call the center with your supervisor present at 1-866-245-8588, option #1, immediately after the incident occurs.
When on the phone with the call center, you will speak to a registered nurse to evaluate the nature of your injury and determine immediate care or treatment options. Your supervisor will need to be on the line to verify that the injury is work-related.
The registered nurse will then document the call and enter the incident report into the CareMC reporting system. If there is no injury, no other action must be taken by you and your supervisor. If you have been injured, the nurse may direct you to the nearest State-approved medical provider for treatment. In this case, your supervisor is responsible for completing the claim process with CorVel.
You must choose a provider who is authorized in the State workers' compensation network. This will be the only physician authorized to treat you for your compensable injury. The State will not pay any medical expenses you incur from a physician other than your treating physician or a network physician you are referred to by your treating physician.
CorVel is a third party administrator that works with the Division of Claims and Risk Management. Follow-up doctor and/or specialist appointments must be arranged by CorVel and NOT by the injured employee or the employee’s supervisor. NOTE - This does not apply in situations requiring immediate emergency room treatment for serious or life-threatening injuries.
If you are seen in an emergency room or a minor medical clinic and you were told to see a specialist or your “regular/normal” physician for follow-up care, you must call the Human Resources Department prior to any follow up treatment. Human Resources will call your CorVel examiner for a panel of three. The panel will be given to Human Resources, and you will need to go to Human Resources to sign the panel form. All doctors must be on the State’s approved physicians list prior to follow-up treatment.
If treatment is sought, complete the reporting process (with your supervisor still present) by asking the registered nurse to transfer the call to the First Notice of Loss Unit after the registered nurse has entered their notes.
You may also call the First Notice of Loss Unit directly at (866) 245-8588, option #2.
If your supervisor is unable to answer the questions asked on this phone call, your supervisor must notify their Human Resources Department prior to the end of their shift.
Human Resources personnel may also call 1-866-245-8588, option #2, or they may complete the First Notice of Loss online via CareMC. If the employee and supervisor did not call the registered nurse, and the incident was reported to Human Resources and was non-medical, the Human Resources personnel may enter the incident directly into CareMC.
When seeking medical treatment, notify the doctor’s office that you were injured while at work and that you will be filing a claim for workers’ compensation benefits through the State.
Follow the instructions of the third party administrator relative to your pharmacy benefits. Do not fill prescriptions to be billed to your general health insurance carrier.
DO NOT present your health care card for medical treatment, or while filling a prescription. Your health insurance and workers’ compensation coverage are two separate plans that do not overlap.
Workers’ compensation does not require nor pay for drug testing, however, if your employer requires a drug test for your position, DO NOT request from the workers’ comp medical provider. All drug tests must be performed by National Toxicology Specialists (NTS). Only drug tests from NTS are acceptable.
It is your responsibility to keep your supervisor and/or Human Resources Department notified on a daily basis regarding your work status while out of work on workers’ compensation. Explain what medical care is being prescribed and your current condition and give them copies of all the paperwork issued by the treating physician stating when you can return to work, if follow-up visits are requested, and the need for physical therapy (if applicable). This written documentation must be forwarded to Human Resources. Due to HIPPAA compliance, ONLY the Human Resources Department will store the medical records related to an employee’s injury on the job.
The State of Tennessee and the State’s TPA reserve the right to review certain claims for compensability and may assign a case manager to assist an employee. Certain outpatient procedures must be pre-certified by state processes before occurring. Providers of these services know they should contact the adjuster before diagnostic testing, physical therapy, injections, surgeries, referrals, etc.
Call the Workplace Injury & First Notice of Loss Call Center at 866-845-2588, and select Option 2
If you feel a state employee has fraudulently filed a workers’ compensation claim, you may report the fraud online at comptroller.tn.gov, or by calling the Comptroller of the Treasury’s hotline at 1-800-232-5454. Instructions for reporting online:
866-245-8588 (option 1)
Services at a Glance
Criminal Injuries Compensation
Cyber Incident Response Plan
Electronic Monitoring Indigency Fund
SAFE Program (for Medical Professionals)
Teacher's Excess Liability Coverage
Have questions about the Workers' Compensation program? We're here to help!
(866) 245.8588 (option 1)
2000 Mallory Ln, Ste 130-398
Franklin, TN 37067-8231